| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $121.70 | $156.86 | $272.64 |
BCBS
| Facility | 26 | $133.41 | $133.41 | $133.41 |
Cigna
| Facility | 26 | $137.06 | $137.06 | $137.06 |
Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $121.70 | $156.86 | $272.64 |
BCBS
| Facility | 26 | $133.41 | $133.41 | $133.41 |
Cigna
| Facility | 26 | $137.06 | $137.06 | $137.06 |
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